Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.11 / $1,050.35 / $8,229.00	Facility		$709.11	$1,050.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.11 / $825.40 / $1,065.09	Professional		$709.11	$825.40	$1,065.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.71 / $837.51 / $1,250.09	Professional		$707.71	$837.51	$1,250.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.63 / $1,100.23 / $1,269.20	Facility		$764.63	$1,100.23	$1,269.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $785.88 / $1,082.02 / $1,571.76	Professional		$785.88	$1,082.02	$1,571.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.68 / $965.68 / $1,034.27	Facility		$965.68	$965.68	$1,034.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.74 / $1,154.60 / $1,710.92	Professional		$828.74	$1,154.60	$1,710.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,021.64	Professional		$32.34	$32.34	$1,021.64
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.31 / $1,100.45 / $1,621.78	Professional		$770.31	$1,100.45	$1,621.78